- WellSpan Health (York, PA)
- Utilization Management Nurse ( RN ) -...administration or management . Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or + ... quality health care. Provides leadership in the integration of utilization management principles throughout the System. Responsible... Registered Nurse Multi State License Upon Hire Required Apply Now… more
- CVS Health (Harrisburg, PA)
- …skills, both verbal and written Required Qualifications - 3+ years of experience as a Registered Nurse - Must possess 1+ years of clinical experience in acute or ... acute setting - Must have active current and unrestricted RN licensure in state of residence - Must be...years of clinical experience - Managed Care experience - Utilization management experience Education Associates degree required… more
- CVS Health (Harrisburg, PA)
- …skills, both verbal and written Required Qualifications - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- Lincoln Financial Group (Harrisburg, PA)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... will provide coaching and guidance to claims regarding medical management **What you'll be doing** * Evaluate medical information...looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license… more
- Humana (Harrisburg, PA)
- …skills to make an impact** **Required Qualifications** + An active, unrestricted Virginia Registered Nurse ( RN ) or Behavioral Health clinician license such ... first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management (Behavioral Health) who will utilize their clinical skills to support… more
- Gentiva (Harrisburg, PA)
- …+ Good problem-solving skills + Good time management skills **We Offer** **As a Registered Nurse / RN , you will be eligible for:** + Competitive Pay ... designated teams and functions as an interdisciplinary advanced illness management and support, along with telephonic, video, and in...telephonic, video, and in person interventions afterhours. **As a Registered Nurse / RN , you… more
- WellSpan Health (York, PA)
- Case Management Nurse - Weekend Option -...+ 2 years Recent acute care experience. Required + Utilization management , case management , or ... General Summary Performs a variety of duties and applies utilization and case management techniques to determine...clinical nursing specialty. Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or… more
- UPMC (Harrisburg, PA)
- …with 4-6 weeks of hire. UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with renewal ... (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and… more
- UPMC (Harrisburg, PA)
- …within 4-6 weeks of hire + UPMC approved Care Management certification preferred + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with renewal + ... _Are you a Registered Nurse ( RN ) seeking...the clinical and financial plan for patients. Performs overall utilization management , resource management , discharge… more
- UPMC (Harrisburg, PA)
- …UPMC approved Care Management certification preferred. + Advanced Cardiac Life Support (ACLS) + Registered Nurse ( RN ) + Act 34 with renewal **UPMC is an ... (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and… more
- UPMC (Harrisburg, PA)
- …with 4-6 weeks of hire. + UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with renewal + ... (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and… more
- Health Advocates Network (Harrisburg, PA)
- …/ hour Minimum Qualifications Possession of a current license to practice as a Registered Nurse issued by the Pennsylvania State Board of Nursing; or Possession ... Nursing. Resources possessing non-renewable temporary practice permits must obtain licensure as a Registered Nurse within the one-year period as defined by the… more
- Marriott (Harrisburg, PA)
- …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... **Claims Services** + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization ...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
- WellSpan Health (York, PA)
- …+ 3 years Progressive leadership experience in acute care nursing Required Licenses: + Licensed Registered Nurse Upon Hire Required or + Registered Nurse ... Responsible for overall strategic direction, development, and implementation of WellSpan nurse staffing and scheduling and for WellSpan Health staffing resources and… more
- UPMC (York, PA)
- …National Institute of Health Stroke Scale Certification + Pediatric Advanced Life Support (PALS) + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with ... years of enrollment. **Licensure, Certifications, and Clearances:** Current licensure as a Registered Professional Nurse in practicing state. Clearances must be… more
- UPMC (Harrisburg, PA)
- …state. + Advanced Cardiac Life Support (ACLS) + Pediatric Advanced Life Support (PALS) + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with renewal ... department orientation, and fostering a culture of continuous performance management . This includes completing and delivering employee evaluations, managing daily… more
- UPMC (Carlisle, PA)
- …state. Clearances must be dated within 90 days + Neonatal Resuscitation Program (NRP) + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with renewal ... with other units and/or spreads across the business unit or system. Analyzes nurse and patient satisfaction outcome data and develops action plan to address as… more
- Highmark Health (Harrisburg, PA)
- …adapt engagement strategies to meet market needs **LICENSES/CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + None **Language (Other than ... result in the greatest ROI for the Organization. Further, in a matrix management environment, will be responsible for collaborative work with the other members of… more
- Highmark Health (Camp Hill, PA)
- …of external client facing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Registered Nurse ( RN ) + Physician Assistant License - PA + ... the clinical subject matter expert for clinical, quality, care, utilization , high cost claim and population health management... utilization , high cost claim and population health management as the part of the clinical presentations with… more
- WellSpan Health (York, PA)
- …+ Communicates changes in the patient's condition and other urgent information to the Registered Nurse in a timely manner. Reports actual and potential problems ... surgery, arrythmia monitoring and intervention, advanced cardiac life support, pacemaker/ICD management , IABP management , CRRT utilization , ventricular… more